| Safety Net For Substance Use Disorders Llc | |
|
2640 Route 70 Bldg 7a Manasquan NJ 08736-2609 | |
| (732) 908-6023 | |
| Not Available |
| Full Name | Safety Net For Substance Use Disorders Llc |
|---|---|
| Speciality | Counselor |
| Location | 2640 Route 70 Bldg 7a, Manasquan, New Jersey |
| Authorized Official Name and Position | Maureen Tirella (OWNER) |
| Authorized Official Contact | 7329086023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safety Net For Substance Use Disorders Llc 614 Borrie Ave Brielle NJ 08730-1804 Ph: (732) 908-6023 | Safety Net For Substance Use Disorders Llc 2640 Route 70 Bldg 7a Manasquan NJ 08736-2609 Ph: (732) 908-6023 |
| NPI Number | 1558115816 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 0749629921 |
|---|---|
| Medicare Enrollment ID | O20240420000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558115816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Maureen A Tirella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609435452 PECOS PAC ID: 1951726801 Enrollment ID: I20200806002389 |
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